The purpose of this form is to gather information from individuals who are interested in participating in an IFIO Basic Couples Training in Austin, TX in late 2018. The dates are currently slated for September 21-25 and December 7-11.

* Required

First Name *

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Last Name *

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Email Address *

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Address (home or work) *

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Phone Number *

please indicate if this is a work, home, or cell phone line

Your answer

Will you have completed IFS Level 1 training by the start of this training? *